Individual
TIKEISHA FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 PHARR RD NE STE 3025, ATLANTA, GA 30305-2363
(404) 788-9654
(404) 500-5753
Mailing address
165 MARION PL NE, 901, ATLANTA, GA 30307-2747
(404) 788-9654
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
81-1666941
GA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/17/2016
Last updated
06/11/2024
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